Title Page

  • Document No.

  • Client / Site

  • Location
  • Company Representative

  • Conducted on

  • Prepared by

OH&S Policies & Procedures

  • Do you have a formal OHS management system (Safety Map, AS4801 or bespoke) and sighted? <br>Note: Safety systems may include company specific policies and procedures, traffic management plans, safe operating procedures(SOPs)

  • Do you have a written OHS Policy? If yes, sight or obtain a copy if possible.<br>Note: Outlines company’s OHS commitment objectives, planning and responsibilities

  • Do you have a written policy for bullying/harassment in the workplace?<br>Note: May not have a policy, but need to have understanding of bullying prevention and responsibilities.

  • Who is responsible for the management of OHS at the work site or within your company?<br>Note: This role may be fulfilled by a HR Office, Supervisor, Operations Manager or OHS Coordinator.t

  • Do you have processes for reporting injuries, incidents and hazards?<br>Note: Review incident registers and/or procedures. Sight incident report form. Is “What to do if you are injured poster” displayed?

  • Will you contact our agency if one of our on-hired employee/s suffers an injury or is involved in an incident?<br><br>Note: 1. Ensure employee is OK 2. Contact Consultive 3. Complete incident form 4. Follow up action/controls

  • If an OHS issue arises which cannot be resolved immediately, what should our on-hired employee/s do?<br><br>Note: E.g. Issues can be reported to supervisor and or manager or refer to an issue resolution procedure.<br><br>

  • What Consultation processes do you have in place? Can these processes be accessed by our on-hired employee/s?<br><br>Note: This may include formal OHS Committee, tool box talks, staff meetings and/or noticeboards whereby OHS is discussed.

Induction and Training

  • Will our on-hired employee/s be provided with workplace specific induction before commencement of work?<br><br>Note: E.g. a training video, company hand booklet/pamphlet, site walkthrough etc. This may be an informal or formal process

  • What types of task specific or on-the-job training and supervision are provided to our on-hired employee/s?<br><br>Note: E.g. on some assignments the on-hired employee may have a buddy. Competency assessments completed. SOP’s may also be displayed

Hazard Identification & Control of Risks - List relevant job tasks at each question

  • Will our on-hired employee/s be undertaking tasks involving hazardous manual handling?<br><br>Note: E.g. completion of risk assessments, awareness training/information provided, trolleys used and team lifting used when required.

  • Will our on-hired employee/s be entering areas shared pedestrian and traffic areas.<br><br>Note: E.g. barricaded or designated walk ways, traffic management plans, signs, high visibility vests.<br><br><br><br>

  • Will our on-hired employee/s be exposed to areas that have excessive noise?<br><br>Note: E.g. ear plugs provided, job rotation, audiometric testing etc.

  • Will our on-hired employee/s be working in heat stress or cold conditions? e.g. outdoors

  • Will our on-hired employee/s be entering any confined spaces or poorly ventilated environments?<br><br>Note: E.g. permit to work cards are used, training provided, PPE issued, testing of atmosphere prior to entering enclosed spaces, emergency equipment available

  • Will our on-hired employee/s be required to work at heights above 2 metres or on ladders?<br><br>Note: E.g. harness equipment, ladders, cages, work instructions, training etc.

  • Is the work classified as construction work<br><br>Note: If so a Construction Induction Card (Red Card) will be required.

Personal Protective Equipment & Clothing

  • Will our on-hired employee/s be required to wear personnel protective equipment?<br><br>Note: This may include a uniform, steel capped boots, high visibility vest, ear plugs, goggles, hard hat etc.

Amenities, Emergency Response and First Aid

  • What amenities do you have on-site for our on-hired employee/s?<br><br>Note: This may include washroom, dining facilities, access to drinking water.

  • What are the first aid and emergency arrangements for the site?<br><br>Note: This may include officers, evacuation plans, first aid kit

Changes to Agreed Assignment Work

  • Consultive needs to be notified if there are any changes to the work assignment. Who will be responsible for notifying us of any changes?<br><br>Note: This is important, because hazards can change when work activities are altered.

Injured Workers – Return to Work Obligations

  • Should a Consultive employee be injured on your site are you prepared to work in conjunction with Consultive to ensure a quick recovery by assisting with the Return to Work process<br><br>Note: This is encouraged and is a joint obligation to assist in the avoidance of Third Party Recovery action initiated by the VWA and to minimise the length of claims, which in turn effects both our premiums

  • Do you have any light duties available to accommodate injured workers who may have a limited capacity or restricted duties clearance?<br><br>Note: This may include light assembly work, tasks where sitting is appropriate, administrative work (if appropriate) etc. List roles that may be available

General Housekeeping & Environment

  • OHS Policy Displayed

  • Work areas free from clutter & obstructions

  • Work areas well lit to enable safe operations

  • No temperature extremes

  • Surfaces safe and suitable e.g. floor free from cracks, oil, holes.

  • Stock/material stored safely on racking/no overhang/damaged or unstable racking

  • Floor free from slip/trip hazards e.g. hydraulic hoses, pallets

Traffic Management

  • People are separated from vehicles e.g. elevated platforms, designated walkways, barriers etc

  • Traffic warning systems in place e.g. warning lights, signage

  • Machinery moving/working at walking pace

Working at Heights

  • Work platforms used are enclosed where work is above 2 metres

  • Falls prevention (rail/scaffolding) or fall arrest harnesses are used for work areas not fully enclosed or working over edge

  • Standard ladders are not used to pick items at heights

First Aid & Emergency & Amenities

  • Washroom and dining area/facilities clean and tidy

  • Emergency exit and lighting provided

  • Emergency procedures/plan displayed

  • Emergency and First aid contacts displayed (where required)

  • First aid boxes sighted and contents checked

Comments, Completed & Signed

  • No comments or follow ups required?

  • Company representative signature

  • Consultive OH&S Officer signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.